Yini Isiqeshana Sokulawula Ukuzala? Inhloso, Inqubo & Nemiphumela

Isiqeshana sokulawula ukuzala siyisiqeshana esincane, esiyisikwele esinamathiselwayo esikhipha amahomoni ngesikhumba sakho ukuvimbela ukukhulelwa. Cishe singosayizi wencwadi yokufanisa futhi sisebenza ngendlela efana namaphilisi okulawula ukuzala, kodwa udinga kuphela ukusishintsha kanye ngesonto esikhundleni sokuthatha iphilisi nsuku zonke.

Le ndlela yokuvimbela ukukhulelwa ihlanganisa ukulula nokusebenza kahle, ikunikeza ukuvimbela ukukhulelwa okuthembekile ngaphandle kwesimiso sansuku zonke. Ake sihlolisise ukuthi lesi siqeshana esilula singangena kanjani empilweni yakho futhi sikusize wenze izinqumo ezinolwazi mayelana nempilo yakho yokuzala.

Yini isiqeshana sokulawula ukuzala?

Isiqeshana sokulawula ukuzala siyisikwele esincane, esinombala onsundu esinamathela esikhumbeni sakho futhi siletha amahomoni ngqo emangeni akho. Uhlobo oluvamile kakhulu lubizwa nge-Xulane, nakuba ungase futhi uzwe libizwa ngokuthi "isiqeshana" noma ngegama lalo langaphambilini lomkhiqizo, i-Ortho Evra.

Isiqeshana siqukethe amahomoni amabili okwenziwa: i-estrogen ne-progestin. Lezi yizinhlobo ezifanayo zama-hormone atholakala emaphilisi okulawula ukuzala ahlanganisiwe. Uma zimuncwa ngesikhumba sakho, la mahomoni asebenza ndawonye ukuvimbela ama-ovari akho ukuthi akhulule amaqanda njalo ngenyanga.

Ugqoka isiqeshana ngasinye ngesonto elilodwa, bese usithatha esisha. Ngemva kwamasonto amathathu ugqoke iziqeshana, uthatha isonto elingenasiqeshana, lapho ngokuvamile uzoba nomjikelezo wakho. Lokhu kudala umjikelezo wamasonto amane olingisa isigqi sakho semvelo sokuya esikhathini.

Kungani kwenziwa isiqeshana sokulawula ukuzala?

Inhloso eyinhloko yesiqeshana sokulawula ukuzala ukuvimbela ukukhulelwa okungahlosiwe ngokulethwa kwama-hormone okuthembekile. Uma isetshenziswe ngendlela efanele, isebenza ngaphezu kuka-99%, okwenza ibe enye yezindlela zokuvimbela ukukhulelwa ezithembeke kakhulu ezitholakalayo.

Abantu abaningi bakhetha isiqeshana ngoba sinikeza ukusebenza kwamaphilisi okulawula ukuzala ngaphandle kokudinga ukunakekelwa kwansuku zonke. Uma wake wakhohlwa ukuphuza iphilisi noma wahlupheka ngemikhuba yemithi yansuku zonke, uhlelo lwesiqeshana samasonto onke lungazizwa lulawuleka kakhulu.

Ngaphandle kokuvimbela ukukhulelwa, isiqeshana singase futhi sisize ngezinkinga eziningana ezithinta izinga lempilo yakho:

• Izikhathi ezilula, eziqagelwayo
• Ukuncipha kwemiqondo yokuya esikhathini nobuhlungu
• Isikhumba esicacile kanye nokuncipha kwamabala
• Ukuncipha kwengozi yomdlavuza wama-ovari kanye ne-endometrial
• Ukusizwa ezimpawini ze-polycystic ovary syndrome (PCOS)
• Ukuncipha kwengozi yokulahlekelwa amathambo

Lezi zinzuzo ezengeziwe zingenza isiqeshana sibe yindlela ekhangayo ngisho nakubantu abangagxili ekukhulelweni. Kodwa-ke, kubalulekile ukuxoxa ngomlando wakho wezempilo nomhlinzeki wakho wezempilo ukuze unqume ukuthi isiqeshana sikulungele yini.

Yini inqubo yokuthola isiqeshana sokulawula ukuzala?

Ukuqala ngesiqeshana sokulawula ukuzala kuhilela ukubonisana okuqondile nomhlinzeki wakho wezempilo kulandelwe ukufunda amasu okusebenzisa afanele. Le nqubo yakhelwe ukuqinisekisa ukuthi isiqeshana sisebenza ngempumelelo nangokuphepha esimweni sakho esithile.

Umhlinzeki wakho wezempilo uzobuyekeza kuqala umlando wakho wezokwelapha kanye nesimo sakho sempilo yamanje. Bazobuza ngemithi oyithathayo, okuhlangenwe nakho kwangaphambilini ngokulawula ukuzala ngamahomoni, kanye nomlando womndeni wamagazi noma iminye imidlavuza. Lolu lwazi lubasiza ukuthi banqume ukuthi isiqeshana siyindlela ephephile yini kuwe.

Ngesikhathi sokuqokwa kwakho, umhlinzeki wakho angase ahlolisise umfutho wegazi lakho futhi axoxe ngezici zokuphila kwakho. Bazochaza futhi ukuthi ungayisebenzisa kanjani isiqeshana ngendlela efanele nokuthi yini ongayilindela ngemijikelezo yakho yokuqala. Lesi yisikhathi esifanele sokubuza noma yimiphi imibuzo mayelana nokusebenza, imiphumela emibi, noma ukuthi isiqeshana singasebenzisana kanjani nemisebenzi yakho yansuku zonke.

Uma usuthola umuthi wakho, ngokuvamile uzoqala ukusebenzisa isiqeshana ngosuku lokuqala lokuya esikhathini noma ngeSonto lokuqala ngemva kokuqala kokuya esikhathini. Umhlinzeki wakho wezempilo uzokunikeza imiyalelo ethile ngokusekelwe esimweni sakho kanye nezintandokazi zakho.

Ungalungiselela kanjani ukusebenzisa isiqeshana sokulawula ukuzala?

Ukulungiselela ukusebenzisa isiqeshana sokulawula ukuzala kuhilela ukuqoqa ulwazi nokuzilungiselela impumelelo ngokusebenzisa nokulandela kahle. Ukuthatha izinyathelo ezimbalwa ezilula ngaphambi kwesikhathi kungasiza ekuqinisekiseni ukuthi uthola inzuzo enkulu kule ndlela yokuvimbela inzalo.

Okokuqala, khetha usuku olungaguquki lweviki lokushintsha isiqeshana sakho. Abantu abaningi bakuthola kusiza ukukhetha usuku lapho benomkhuba ovamile, njengasekuseni ngeSonto noma kusihlwa ngoLwesithathu. Maka lezi zinsuku ekhalendeni lakho noma setha izikhumbuzi zocingo ukukusiza ukuthi uhlale emgwaqeni.

Cabangela ukuthi uzosisebenzisa kuphi isiqeshana emzimbeni wakho. Izindawo eziphumelela kakhulu zihlanganisa ingalo yakho engenhla, umhlane, isisu esingezansi, noma izinqe. Gwema ukusibeka emabeleni akho, futhi qiniseka ukuthi isikhumba sihlanzekile, somile, futhi asinawo ama-lotion noma amafutha angase aphazamise ukunamathela.

Ngaphambi kokusebenzisa kwakho okokuqala, qoqa lezi zinto zokuhlinzeka ukuze wenze inqubo ibe bushelelezi:

• Indawo ehlanzekile, eyimfihlo yokusebenzisa
• Ikhalenda lakho noma ifoni yokulandela izinguquko zesiqeshana
• Ulwazi mayelana nezindlela zokuvimbela inzalo eziyisipele
• Imininingwane yokuxhumana yomhlinzeki wakho wezempilo ngemibuzo

Kuhlakaniphile futhi ukuba nendlela yokuvimbela inzalo eyisipele etholakalayo, njengama-condom, ikakhulukazi ngenyanga yakho yokuqala yokusebenzisa isiqeshana. Lokhu kuvikela okwengeziwe kungahlinzeka ngokuthula kwengqondo ngenkathi umzimba wakho uzivumela emazingeni amasha e-hormone.

Ungazifunda kanjani imiphumela yakho yesiqeshana sokulawula ukuzala?

Ukuqonda ukuthi isiqeshana sakho sokulawula ukuzalwa sisebenza kahle kangakanani kuhilela ukuqapha kokubili isimo saso somzimba nokuphendula komzimba wakho kumahomoni. Ngokungafani nokuhlolwa ngemiphumela yezinombolo, "imiphumela" yesiqeshana ilinganiswa ngezinkomba zokusebenza kahle kanye nolwazi lwakho olujwayelekile.

Uphawu olubaluleke kakhulu lokuthi isiqeshana sakho sisebenza kahle ukuthi sihlala sinamathele esikhumbeni sakho kuyo yonke leli sonto. Isiqeshana esinamathele kahle kufanele sizizwe siphephile ngesikhathi semisebenzi ejwayelekile, okuhlanganisa ukushawa, ukubhukuda, nokuzivocavoca. Uma imiphetho iqala ukuphakama noma isiqeshana siwa, ukusebenza kwaso kungase kulimale.

Ushintsho lomjikelezo wakho wokuya esikhathini lungabonisa nokuthi umzimba wakho usabela kanjani esiqeshini. Abantu abaningi bathola izikhathi ezilula, futhi abanye bangase bangabi nokuphuma kwegazi ngesonto labo elingenasiqeshana. Ngenkathi lokhu kungase kuzizwe kukhathaza ekuqaleni, ngokuvamile kuwukusabela okujwayelekile kumahomoni.

Nawa amanye amakhomba abalulekile okuthi isiqeshana sakho sisebenza ngempumelelo:

• Ukunamathela okuqhubekayo esikhumbeni sakho isonto lonke
• Ukuphuma kwegazi okuvamile noma okulula ngesikhathi samasonto angenasiqeshana
• Ukungabi khona kwezimpawu zokukhulelwa
• Isimo sengqondo esizinzile namazinga wamandla ngemva kwemijikelezo embalwa yokuqala

Uma uhlangabezana nezimpawu ezingavamile njengezinhlungu zekhanda ezinzima, izinhlungu emilenzeni, noma izinguquko embonweni, xhumana nomhlinzeki wakho wezempilo ngokushesha. Lokhu kungabonisa izinkinga ezingavamile kodwa ezinzima ezidinga ukunakekelwa kwezokwelapha okusheshayo.

Ungakwandisa kanjani ukusebenza kahle kwesiqeshana sakho sokulawula ukuzalwa?

Ukwandisa ukusebenza kahle kwesiqeshana sakho sokulawula ukuzalwa kuhilela ukusetshenziswa okuqhubekayo, izindlela ezifanele zokufaka, nokuqwashisa ngezinto ezingase ziphazamise ukumuncwa kwamahomoni. Ukulungiswa okuncane emsebenzini wakho kungathuthukisa kakhulu ukwethembeka kwesiqeshana.

Into okubaluleke kakhulu ukushintsha isiqeshana sakho ngosuku olufanayo ngempelasonto ngayinye. Ngisho nokubambezeleka kwamahora ambalwa kunganciphisa amazinga e-hormone ngokwanele ukuvumela ukuvuthwa kwamaqanda. Setha izikhumbuzi eziningi ocingweni lwakho noma cela umngani omethembayo noma umlingani ukuthi akusize ukhumbule izinsuku zokushintsha isiqeshana.

Ukusetshenziswa kahle kobuchwepheshe kuqinisekisa ukulethwa okungcono kakhulu kwe-hormone ngesikhumba sakho. Hlanza indawo yokusebenzisa ngensipho namanzi, bese uyomisa ngokuphelele ngaphambi kokusebenzisa isiqeshana esisha. Cindezela ngokuqinile imizuzwana engu-10-15, unake ngokukhethekile emaphethelweni lapho ukuphakamisa kuvame ukuqala khona.

Izinto eziningana zinganciphisa ukusebenza kahle kwesiqeshana, ngakho kubalulekile ukwazi ukuphazamiseka okungenzeka:

• Imithi ethile efana nama-antibiotics athile kanye nemithi elwa nokuthimula
• Izithasiselo zemvelo, ikakhulukazi i-St. John's wort
• Ukushisa okukhulu okungase kwandise amazinga okumuncwa kwe-hormone
• Ama-lotion, amafutha, noma izimpushana ezisetshenziswa endaweni yesiqeshana
• Ukuvezwa isikhathi eside kuma-saunas noma amathangi amanzi ashisayo

Uma udinga ukuthatha imithi engase iphazamise isiqeshana, xoxa ngezinketho zokuvimbela inzalo ezingeziwe nomhlinzeki wakho wezempilo. Bangakusiza ukuthi udlule ezimweni zesikhashana ngenkathi ugcina ukuvikelwa kokukhulelwa.

Yisiphi ishejuli engcono kakhulu yesiqeshana sokulawula inzalo?

Ishejuli engcono kakhulu yesiqeshana sokulawula inzalo ilandela umjikelezo oqhubekayo wamasonto amane ngamasonto amathathu okusetshenziswa kwesiqeshana okulandelwa yiviki elilodwa elingenasiqeshana. Lesi sikhathi silingisa ukuguquguquka kwama-hormone emvelo ngenkathi kunikezwa ukuvikelwa okuthembekile kokuvimbela inzalo.

Ngesonto lokuqala, elesibili, nelesithathu, uzogqoka isiqeshana ngokuqhubekayo, usishintshe ngosuku olufanayo njalo ngesonto. Isibonelo, uma uqala ngeSonto, uzoshintsha iziqeshana njalo ngeSonto amasonto amathathu. Isiqeshana sisebenza ubusuku nemini, ngakho akudingeki ukuthi ucabange ngokuvimbela inzalo ngalawo masonto.

Iviki lesine yisikhathi sakho lapho ungafaki isiqeshana, lapho ngokuvamile uzothola khona ukuphuma kwegazi okufana nokuya esikhathini. Lokhu kuphuma kwegazi kuvame ukuba lula futhi kube mfushane kunezikhathi zemvelo. Abanye abantu bakhetha ukuhlela leli viki ngesikhathi semicimbi ebalulekile, amaholide, noma izintandokazi zomuntu siqu.

Umhlinzeki wakho wezempilo angase ancome ukwehluka kulolu hlelo olujwayelekile olususelwe ezidingweni zakho ezithile:

• Ukusetshenziswa okuqhubekayo ngaphandle kwamasonto angenasiqeshana ukuze weqe ukuya esikhathini ngokuphelele
• Imijikelezo enwetshiwe ngamasonto angenasiqeshana njalo ngamaviki angu-12-16
• Ukuhlela okuguquguqukayo ukuze kulungelwe ukuhamba noma imicimbi ekhethekile

Lawa mahlelo ahlukile angaba aphephile futhi asebenze kubantu abaningi, kodwa kufanele ngaso sonke isikhathi axoxwe futhi avunywe ngumhlinzeki wakho wezempilo ngaphambi kokusetshenziswa.

Ziyini izici eziyingozi zezinkinga zesiqeshana sokulawula inzalo?

Izimo ezithile zempilo nezici zokuphila zingakhuphula ingozi yakho yokuthola izinkinga ngenkathi usebenzisa isiqeshana sokulawula inzalo. Ukuqonda lezi zici eziyingozi kukusiza wena nomhlinzeki wakho wezempilo ukuthi nenze izinqumo ezinolwazi mayelana nokuthi isiqeshana siphephile yini kuwe.

Isici esiyingozi esibaluleke kakhulu umlando womuntu siqu noma womndeni wamagazi, njengoba i-estrogen esiqeshini ingakhuphula kancane ingozi yokujiya kwegazi. Le ngozi iphezulu kakhulu ngonyaka wokuqala wokusebenzisa kanye nakubantu ababhemayo, ikakhulukazi labo abaneminyaka engaphezu kwengama-35.

Ubudala budlala indima ebalulekile ekuphepheni kwesiqeshana, nengozi ngokuvamile ikhuphuka ngemva kweminyaka engama-35. Abesifazane abaneminyaka engaphezu kwengama-35 ababhemayo ngokuvamile bayelulekwa ukuthi bangasebenzisi izindlela zokuvimbela inzalo eziqukethe i-estrogen njengesiqeshana ngenxa yezingozi eziphakeme zemithambo yenhliziyo.

Izimo eziningi zezokwelapha zingenza isiqeshana singafaneleki noma sidinga ukuqashwa ngokucophelela:

• Umlando wamagazi aqinile emilenzeni, emaphashini, noma kwamanye amalungu omzimba
• Umlando wamanje noma owedlule wokushaywa unhlangothi noma ukuhlaselwa yinhliziyo
• Umfutho wegazi ophezulu ongagadiwe
• Izinhlobo ezithile zokukhuluphala, ikakhulukazi ezinoshintsho olubonakalayo
• Isifo sesibindi esisebenzayo noma imithombo yesibindi
• Ukuphuma kwegazi okungachazeki esithweni sangasese
• Ukukhulelwa kwamanje noma okusolwayo
• Umlando womdlavuza othile ozwela amahomoni

Izici zokuphila njengokukhuluphala ngokweqile, ukuphumula embhedeni isikhathi eside, noma ukuhlinzwa okukhulu kungakhuphula ingozi yezinkinga. Umhlinzeki wakho wezempilo uzohlola lezi zici ngokumelene nezinzuzo zesichibi ukuze anqume inketho yokuvimbela inzalo ephephe kunazo zonke esimweni sakho.

Ingabe kungcono ukuba nesikhathi sesichibi esiqhubekayo noma esiguquguqukayo?

Isikhathi sesichibi esiqhubekayo ngokuvamile singcono kokubili ukusebenza kahle kanye nokulula, nakuba ukuguquguquka okuthile kungafakwa ngokuphepha ngesiqondiso esifanele. Okubalulekile ukuthola ibhalansi esebenza ngendlela yakho yokuphila ngenkathi kugcinwa amazinga amahomoni athembekile.

Ukushintsha isichibi sakho ngosuku olufanayo kanye nesikhathi njalo ngesonto kunikeza amazinga amahomoni alindelekile kakhulu kanye nokusebenza kahle kokuvimbela inzalo okuphezulu. Lokhu kuqina kusiza umzimba wakho ukuthi umise umkhuba futhi kunciphisa amathuba okuphuma kwegazi noma i-ovulation engalindelekile.

Nokho, impilo ayihlali ihambisana nezimiso eziqinile, futhi ukuguquguquka okuthile kuvamile ukwamukeleka. Abahlinzeki bezempilo abaningi bayavuma ukuthi ukushintsha isichibi sakho kungakapheli amahora ambalwa esikhathini sakho esivamile ngeke kube nomthelela omkhulu ekusebenzeni kahle. Okubalulekile ukuthi ungadluli izinsuku eziyisikhombisa nganoma yisiphi isichibi esisodwa.

Nansi indlela yokubhekana nezinselelo ezivamile zesikhathi ngenkathi kugcinwa ukusebenza kahle:

• Ukuhamba ngesikhathi esihlukile: namathela esimisweni sakho sesikhathi sasekhaya uma kungenzeka
• Ushintsho lwe-patch olikhohliwe: faka i-patch entsha ngokushesha nje lapho ukhumbula
• Imicimbi ekhethekile: xoxa ngokulungiswa kweshejuli nomhlinzeki wakho kusengaphambili
• Ushintsho lweshejuli yomsebenzi: khetha usuku olungaguquki olusebenzayo ngomkhuba wakho omusha

Uma uvame ukulwa nokungaguquguquki kwesikhathi, xoxa ngezindlela zokuvimbela ezinye nodokotela wakho. Izinketho ezinjengamadivayisi angaphakathi esibelethweni (IUDs) noma ama-implants angase alungele kangcono izidingo zakho zokuphila.

Yiziphi izinkinga ezingaba khona zokusebenzisa i-patch okungaguquguquki?

Ukusetshenziswa kwe-patch okungaguquguquki kungaholela ezinkingeni eziningana ezisukela ekuphumeni kwegazi kuya ekukhulelweni okungahlosiwe. Ukuqonda lezi zinkinga ezingaba khona kukusiza ukuthi ubone ukuthi nini okufanele ufune usizo lwezokwelapha futhi uthathe isinyathelo sokulungisa.

Inkinga enkulu kakhulu yokusetshenziswa kwe-patch okungaguquguquki ukwehluleka kokuvimbela ukukhulelwa okuholela ekukhulelweni okungahlosiwe. Uma ama-patch efakwa sekwephuzile, ewa ngaphandle kokubona, noma ekhohlwa ngokuphelele, amazinga e-hormone ayancipha ngokwanele ukuvumela ukuzala. Lolu bungozi buyanda kakhulu uma ukungaguquguquki kwenzeka ngesonto lokuqala lomjikelezo omusha.

Ukuphuma kwegazi okunqamulayo kungenye inkinga evamile lapho ukusetshenziswa kwe-patch kungajwayelekile. Lokhu kuphuma kwegazi okungalindelekile kungenzeka nganoma yisiphi isikhathi ngesikhathi somjikelezo wakho futhi kungase kube nzima noma kulula kunokulindelekile. Nakuba kungabi yingozi, kungase kungabi lula futhi kukhathaze.

Ezinye izinkinga ezivela ekusetshenzisweni okungaguquguquki zingabandakanya:

• Imijikelezo yokuya esikhathini engajwayelekile okunzima ukuyibikezela
• Ukuqina okwandisiwe noma ubuhlungu bokuya esikhathini
• Ushintsho lwemizwa oluhlobene namazinga e-hormone ashintshashintshayo
• Ukusebenza kahle okuncishisiwe okudinga ukuvimbela ukukhulelwa okuyisipele
• Ingozi eyengeziwe yama-ovarian cysts
• Ukuvuvukala kwesikhumba okuvela ekushintsheni i-patch kaningi

Uma uzithola ulwa njalo nokuvumelana ne-patch, ungalishayi indiva le nkinga. Xhumana nomhlinzeki wakho wezempilo ukuze nixoxe ngamasu okuthuthukisa ukunamathela noma ezinye izindlela zokuvimbela ezizosebenza kangcono ngendlela yakho yokuphila.

Yiziphi izinkinga ezingaba khona zokusebenzisa i-patch ngendlela ephelele?

Noma ngabe usebenzisa i-patch ngendlela ephelele, abanye abantu bangase babe nemiphumela emibi noma izinkinga ezihlobene nama-hormone ngokwawo. Lezi zinkinga azibangelwa iphutha lomsebenzisi kodwa kunalokho indlela imizimba yomuntu ngamunye esabela ngayo ku-estrogen kanye ne-progestin.

Inkinga enkulu kodwa engavamile ukwakheka kwegazi, okungenzeka ngisho nangokusebenzisa i-patch ngendlela ephelele. Ingozi incane kodwa ingokoqobo, ithinta cishe u-1 kwabangu-1,000 kuya ku-1 kwabangu-10,000 abasebenzisi ngonyaka. Amahlule egazi angakheka emilenzeni, emaphashini, noma kwamanye amalungu omzimba futhi adinga ukunakekelwa kwezempilo ngokushesha.

Izinkinga ezivamile kodwa ezingathí sina zihlanganisa izinguquko emizweni, isisindo, noma amazinga wamandla. Le miphumela ye-hormonal iyahlukahluka kakhulu phakathi kwabantu futhi ingase ithuthuke ngemva kwezinyanga ezimbalwa zokuqala njengoba umzimba wakho ujwayela amazinga amasha e-hormone.

Ezinye izinkinga ezingaba khona ngokusebenzisa i-patch ngendlela ephelele zihlanganisa:

• Ukuvuvukala kwesikhumba noma ukusabela komzimba ngendawo yokufaka
• Ukuba buhlungu kwamabele noma izinguquko ngosayizi wamabele
• Ikhanda elibuhlungu noma izinguquko kumaphethini e-migraine
• Isicanucanu, ikakhulukazi ngesikhathi semijikelezo yokuqala
• Ushintsho esifisweni sobulili noma ukuthambisa kwesitho sangasese sowesifazane
• Ukukhuphuka kwengcindezi yegazi kwabanye abasebenzisi
• Izimo ezingavamile zezinkinga zesibindi noma isifo se-gallbladder

Imiphumela eminingi emibi imnene futhi yesikhashana, kodwa eminye ingase idinge ukushintshela kwenye indlela yokuvimbela. Ukuhlolwa njalo nomhlinzeki wakho wezempilo kusiza ukuqapha noma yiziphi izinguquko ezikhathazayo futhi kuqinisekisa ukuthi i-patch ihlala iphephile kuwe.

Kufanele ngibone nini udokotela ngezinkinga ezihlobene ne-patch?

Kufanele uthinte umhlinzeki wakho wezempilo ngokushesha uma uhlangabezana nanoma yiziphi izimpawu zezinkinga ezinzima, ngisho noma ungaqiniseki ukuthi zihlobene yini nesiqeshana. Ukunakekelwa kwezokwelapha okusheshayo kwezimpawu ezikhathazayo kungavimbela izinkinga ezinkulu zempilo futhi kuqinisekise ukuqhubeka kwakho nokuphepha.

Ukunakekelwa kwezokwelapha eziphuthumayo kuyadingeka uma uba nezimpawu ezingabonisa i-blood clot. Lezi zimpawu zingavela ngokuzumayo futhi zidinga ukuhlolwa ngokushesha, njengoba ukwelashwa okubambezelekile kungaba yingozi empilweni.

Funana ukunakekelwa kwezokwelapha ngokushesha nganoma yiziphi lezi zimpawu zokuxwayisa:

• Ubuhlungu bomlenze obukhulu obukhulu, ikakhulukazi nokuvuvukala noma ububomvu
• Ubuhlungu besifuba noma ubunzima bokuphefumula
• Ikhanda elibuhlungu elibukhali noma izinguquko zombono
• Ubuhlungu obukhulu besisu
• Ubuthakathaka noma ukuba ndikindiki ohlangothini olulodwa lomzimba wakho
• Ubunzima bokukhuluma noma ukudideka
• Ukuphuzi kwesikhumba noma amehlo

Kufanele futhi uhlele i-aphoyintimenti ejwayelekile nomhlinzeki wakho wezempilo uma uhlangabezana nemiphumela emibi eqhubekayo ethinta izinga lempilo yakho, njengokushintsha kwemizwa okuqhubekayo, ikhanda elibuhlungu elibukhali, noma ukusabela kwesikhumba okungathuthuki.

Ama-aphoyintimenti okulandelwa njalo abalulekile ngisho noma ungenazo izinkinga. Abahlinzeki abaningi batusa ukuhlolwa njalo ezinyangeni ezintathu kuya kweziyisithupha ngonyaka wakho wokuqala wokusebenzisa isiqeshana, bese kuthi ngonyaka uma konke kuhamba kahle.

Imibuzo evame ukubuzwa mayelana nesiqeshana sokulawula inzalo

Q1: Ingabe isiqeshana sokulawula inzalo silungele induna?

Isiqeshana sokulawula inzalo singasiza ngempela ukuthuthukisa induna kubantu abaningi, yize imiphumela yomuntu ngamunye ihluka kakhulu. Inhlanganisela ye-estrogen ne-progestin esiqeshini isebenza ukunciphisa ama-androgens (ama-hormone esilisa) anegalelo ekuthuthukisweni kwenduna.

Abantu abaningi baqaphela ukuthuthuka kwamathumba ngemva kwezinyanga ezintathu kuya kwezine zokusebenzisa i-patch ngokuqhubekayo. Ama-hormone asiza ukulawula ukukhiqizwa kwamafutha esikhumbeni sakho futhi anganciphisa kokubili ukuvela kwama-breakout kanye nobukhulu bawo. Nokho, abanye abantu bangase bahlangabezane nokuqubuka kwamathumba ekuqaleni emasontweni ambalwa okuqala njengoba umzimba wabo uzivumela.

I-patch ingase ibe usizo ikakhulukazi uma amathumba akho eba mabi ngesikhathi somjikelezo wakho wokuya esikhathini, njengoba inikeza amazinga e-hormone aqhubekayo inyanga yonke. Nokho, ayenzelwanga ngqo njengokwelashwa kwamathumba, futhi ezinye izinto ezinjengama-genetics, ukudla, kanye nemikhuba yokunakekela isikhumba nazo zidlala indima ebalulekile empilweni yesikhumba.

Q2: Ingabe i-estrogen ephansi evela ezinkingeni ze-patch ibangela ukukhuluphala?

Ubuhlobo phakathi kokusetshenziswa kwe-patch yokulawula inzalo nokukhuluphala kuyinkimbinkimbi futhi kuvame ukungaqondwa. Ucwaningo lubonisa ukuthi abantu abaningi abahlangabezani nokukhuluphala okukhulu okubangelwa ngqo yi-patch, nakuba okuhlangenwe nakho komuntu ngamunye kungahluka.

Lokho abantu abaningi abakuchazayo njengokukhuluphala kungase kube ukugcinwa kwamanzi okwesikhashana, ikakhulukazi ezinyangeni ezimbalwa zokuqala zokusebenzisa i-patch. Lokhu kugcinwa kwamanzi ngokuvamile kuzinza njengoba umzimba wakho uzivumela emazingeni amasha e-hormone. Ukukhuluphala kwangempela okuvela ekuqongeleleni amafutha akuvamile futhi kuvame ukuhlobana nezinye izinto zokuphila.

Uma uhlangabezana nezinguquko zesibalo somzimba ngenkathi usebenzisa i-patch, cabanga ezinye izinto ezingase zibe nomthelela, njengokushintsha kwesifiso sokudla, imikhuba yokuzivocavoca, amazinga okucindezeleka, noma eminye imithi. Uma ukukhuluphala kukhathaza, xoxa ngakho nomhlinzeki wakho wezempilo kunokuyeka i-patch ngokuzumayo.

Q3: Ngingakhulelwa ngokushesha ngemva kokuyeka i-patch?

Yebo, kungenzeka ukuthi ukhulelwe ngokushesha ngemva kokuyeka i-patch yokulawula inzalo, ngezinye izikhathi ngisho nangaphakathi komjikelezo wokuqala. Ngokungafani nezinye izindlela zokuvimbela inzalo, i-patch ayibangeli izinguquko zokuzala zesikhathi eside, futhi ukukhiqizwa kwakho kwama-hormone emvelo ngokuvamile kuqala kabusha emasontweni ambalwa.

Abantu abaningi baqala ukuvuthwa kwamaqanda phakathi nenyanga eyodwa kuya kwemithathu ngemuva kwesichibi sabo sokugcina, kanti abaningi baqala ukuvuthwa ngaphakathi kwenyanga yokuqala. Lokhu kusho ukuthi ukukhulelwa kungenzeka ngokushesha nje lapho uyeka ukusebenzisa isichibi, ngakho-ke uma ungalungile ukukhulelwa, uzodinga ukuqala ukusebenzisa enye indlela yokuvimbela ngokushesha.

Uma uhlela ukukhulelwa, ukuyeka isichibi ngokuvamile kuyisinyathelo sokuqala, kodwa kuhle ukuqala ukuthatha amavithamini angaphambi kokukhulelwa futhi uxoxe ngempilo ngaphambi kokukhulelwa nomhlinzeki wakho wezempilo. Bangakusiza ukuqinisekisa ukuthi unempilo enhle kakhulu yokukhulelwa okunempilo.

Q4: Kwenzekani uma isichibi sami siwa?

Uma isichibi sakho siwa, isinyathelo okudingeka usithathe sincike ekutheni sesikude kangakanani futhi kwenzeka nini emjikelezweni wakho. Ukushintshwa ngokushesha ngokuvamile kuyisihluthulelo sokugcina ukusebenza kokuvimbela.

Uma uqaphela ukuthi isichibi siwile kungakapheli amahora angama-24, hlanza indawo bese usebenzisa isichibi esisha ngokushesha. Ungaqhubeka neshejuli yakho ejwayelekile yokushintsha isichibi, futhi akukho ukuvimbela okuyisipele okudingekayo. Kodwa-ke, uma isichibi sesikude ngaphezu kwamahora angama-24 noma ungaqinisekile ukuthi sesikude isikhathi esingakanani, sebenzisa isichibi esisha futhi usebenzise ukuvimbela okuyisipele izinsuku eziyisikhombisa.

Ungazami ukunamathisela kabusha isichibi esiwile, ngoba cishe ngeke sinamathele kahle futhi singase singahambisi amahomoni ngempumelelo. Njalo sebenzisa isichibi esisha lapho ukushintshwa kudingeka. Uma izichibi zivame ukuwa, xoxa ngamasu okusebenzisa noma ezinye izindlela zokuvimbela nomhlinzeki wakho wezempilo.

Q5: Ngingakwazi yini ukubhukuda noma ukuzivocavoca ngesichibi?

Yebo, ungabhukuda, uzivocavoce, futhi uhlanganyele emisebenzini eminingi yomzimba ngenkathi ugqoke isichibi sokulawula ukuzalwa. Isichibi senzelwe ukuhlala sinamathiselwe ngesikhathi semisebenzi ejwayelekile, okuhlanganisa nokuchayeka emanzini nasemjulukeni.

Isiqeshana esinamathiselweyo asingenwa manzi futhi kufanele sihlale siqinile ngesikhathi sokubhukuda, ukushawa, ukugeza, nokujuluka ngenxa yokuzivivinya. Abantu abaningi bathola ukuthi isiqeshana sihlala sinamathele ngisho nangesikhathi sokuzivivinya okukhulu noma imidlalo yasemanzini. Kodwa-ke, gwema ukucwiliswa emanzini ashisayo isikhathi eside, ngoba lokhu kungase kuthinte okunamathiselweyo.

Ngemuva kokubhukuda noma ukuzivivinya, thambisa ngobumnene indawo yesiqeshana kunokuthi uyikhuhle ngamandla. Hlola ukuthi imiphetho isaqinile yini, futhi uma ubona noma yikuphi ukuphakama, zicindezele phansi ngobumnene. Uma isiqeshana sivame ukuvuleka ngesikhathi semisebenzi yakho, xoxa ngezindawo zokubeka noma ezinye izinketho nomhlinzeki wakho wezempilo.